NPI: 1003400722 · EAGLE PASS, TX 78852 · 332BX2000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,519 | $85K |
| 2024 | 7,834 | $428K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4528 | Adult size pull-on xl | 845 | 833 | $175K |
| T4527 | Adult size pull-on lg | 786 | 782 | $132K |
| T4526 | Adult size pull-on med | 628 | 628 | $91K |
| A4554 | Disposable underpads | 2,378 | 2,359 | $84K |
| A6250 | Skin seal protect moisturizr | 2,275 | 2,258 | $13K |
| A4335 | Incontinence supply | 2,376 | 2,361 | $13K |
| E1399 | Durable medical equipment mi | 65 | 15 | $3K |